NPI | 1639110398 |
---|---|
Former Name | CANDACE LYNN GOLDSTONE-HOPKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 2248-123) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 261-124) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2007-07-15 |